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Diabetes Alert Day – Know your risk!

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Do you know what day March 27, 2018 is?  It is an important date!  It is Diabetes Alert Day!

You may be asking yourself, “Why is this important to me?”

One in three Americans are at risk for developing type 2 diabetes, a serious disease that can lead to complications such as kidney disease, blindness, and amputations.  But the good news is that diabetes does not have to be permanent, it can be prevented or delayed with healthy lifestyle modifications.

You can take the diabetic risk test to determine if you are at risk and should consult with your physician.

Link to test: http://www.diabetes.org/are-you-at-risk/

Written By Linda Kerns, LPN

Assistant Health Coach

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Risk Factors, Signs, and Symtoms of Sleep Apnea

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March is National Sleep Awareness Month


Risk Factors for Sleep Apnea

 

  • Being male
  • Being overweight
  • Being over age 40
  • Having a large neck size (17 inches or greater in men and 16 inches or greater in women)
  • Having large tonsils, a large tongue, or a small jaw bone
  • Having a family history of sleep apnea
  • Gastroesophageal reflux, or GERD
  • Nasal obstruction due to a deviated septum, allergies, or sinus problems

 

Signs and Symptoms of Sleep Apnea include:

 

  • Loud Snoring – The person may alternate between loud snoring and being very quiet.  Periods of silence may be followed by gasps or snorting sounds.
  • Observed pauses in breathing – The sleeping partner may notice that the sufferer has temporarily stopped breathing.
  • Excessive sleepiness – He or she may fall asleep while watching TV, reading, attending meetings or driving.  The person may wake up tired, even after a full night’s sleep.
  • Morning headaches – The person may consistently wake up with morning headaches.
  • Trouble concentrating or forgetfulness – This can impact relationships as well as work performance.
  • Frequent nighttime awakenings – There is a tendency to wake several times each night.
  • Irritability, short temper – Lack of energy, depression, or other mood changes may occur.
  • Restlessness at night – The sufferer may toss and turn or thrash about in bed.
  • Dry mouth – One may experience this as well.

 

 

Sleep Apnea can affect anyone at any age, if you or someone you know has these risk factors, talk to your healthcare provider today, sleep studies are performed locally at Adair County Memorial Hospital.   To schedule an appointment please call 641-743-7263.

Information provided by SomniTech who provides sleep study services at Adair County Health System.

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Colorectal Cancer Rarely Causes Symptoms

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What is Colorectal Cancer?

Colorectal cancer is the out of control growth of cells in the colon or rectum.  These cells grow into masses, or tumors.

Colorectal cancer is the third most common cancer in men and women in the USA and is the second leading cause of cancer deaths.

Did you know??

  • Abdominal cancers include adrenocortical tumors, carcinomas of the stomach, cancer of the pancreas, colorectal carcinomas, carcinoid tumors, and gastrointestional stoma tumors.

  • All people age 50 or older with medicare are covered.

  • If you are forty and have a family history ask your doctor, or if you are 50—Early screening can be life saving.

  • Men and women alike get colon cancer, however, people at higher risk for developing colon cancer include those with a history of inflammatory bowel disease (including ulcerative colitis and Crohn’s Disease) and those with a family history of colon cancer

  • · The two most common inherited syndromes linked with colorectal cancer are familial adenomatouse polyposis (FAP) and hereditary non-polyposis colorectal cancer (HNPCC), also known as Lynch Syndrome.  FAP is caused my mutations in the APC gene that you inherit from your parents.
  • · Women with HNPCC have a high risk of also developing cancer of the endometrium (lining of the uterus).  Other cancers linked with HNPCC include cancer of the ovary, stomach, small bowel, pancreas, kidney, brain, ureters (tubes that carry urine from the kidney to the bladder), and bile duct.
  • · Screening methods include stool tests to check for blood, sigmoidoscopy, colonoscopy, double contrast barium enema, and CT colonography.
  • · Research has shown that early detection is key.

Have you had your colon cancer screening test?

Dr. Baccam and Dr. Mayfield, General Surgeons perform Colonoscopy right here in Adair County, Iowa   Call 641-743-6189 to schedule an appointment.

Credits: American Cancer Society

Bets Davis, MFA

Mayo Clinic Staff

Written by: Denise Grandgenett, RN, Adair County Health System’s Health Coach

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Why is it important to consider using Urgent Care vs. the Emergency Room

Urgent care centers differ from emergency rooms in many ways. While they provide many of the same services, they do not have the same pricing schedules or ability to treat all emergent needs.  While an ER could treat any of the urgent care issues, it is not recommended because emergency rooms are often busier and more expensive.  Also, it is important to note that urgent care centers may not be able to treat the illnesses listed for emergency rooms. With that being said, the top diagnosis at both urgent care centers and emergency rooms, nearly 50% of them are the same.

When you go to the urgent care clinic, you will be evaluated by caring, compassionate providers that are able to assess and treat your urgent care needs.  Your urgent care provider will not be your primary care provider, but will have access to your medical record to help them with your medical needs.  At ACHS, our goal is for you to be actively informed of the best practices when choosing your needs for urgent healthcare.  This will help you receive optimal care for your medical concerns, and help decrease the financial stress that sometimes accompanies visits to a healthcare facility.

Urgent Care Emergency Room
Single complaint reason for visit Chest pain
Simple laceration Difficulty breathing
Suture removal Fainting or loss of consciousness
Sprains and strains Seizure
Ear pain/infection Severe bleeding
Sinus pain/infection Severe head, neck or back trauma
Urinary tract infection Loss of limb or severe bone fracture
Cough, cold, sore throat Moderate to severe burn
Animal bites or stings  
Rash or skin irritations  
Minor Burns  
Simple bone fracture  
Nausea, vomiting, stomach virus  
Headache  

 

Average Cost Difference for Emergency Room Visits vs. Urgent Care Visits with the same diagnosis; 2018

Here are some 2018 estimates from Medica, a health insurance company, of how the cost of treating specific illnesses in the ER compares to the cost of treating them in urgent care:

  • Allergies: $733 in ER, $200 in urgent care
  • Bronchitis: $1,074 in ER, $242 in urgent care
  • Earache: $779 in ER, $229 in urgent care
  • Pinkeye: $621 in ER, $184 in urgent care
  • Strep Throat: $1,043 in ER, $231 in urgent care
  • Urinary Tract Infection: $1,264 in ER, $247 in urgent care

ACHS Approximate Averages for the same level of service/diagnosis, 2018

99213*  (UC Clinic)    $114      vs    99283 ER Visit minimal charge;  $755

99214** (UC Clinic)   $160      vs    99284 ER Visit minimal charge;  $1195

*99213- established patient, moderate level of service, such as an evaluation for a cold or cough with a prescription

**99214- established patient, more extensive level of service, such as an evaluation of a broken bone that requires an x-ray and fitting for ortho appliance

(note that the fees listed do not include costs for ancillary services such as labs and x-ray)

Rebecca McCann, ARNP

ACHS Urgent Care Provider

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 


 

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What is Sleep Apnea

What is Sleep Apnea?

March is National Sleep Awareness Month.   In honor of this, we are going to do a series of informational article postings about sleep disorders and sleep study information.

Apnea is a Greek word meaning without breath; sleep apnea is the involuntary cessation of breath while a person is sleeping.

Sleep apnea is very common.  According to the National Sleep Foundation, more than 18 million Americans suffer from this disease.  Yet due to the lack of awareness and education of this disease, over half are undiagnosed and untreated, even with the severe consequences this disease can play on a patient’s health.

 

If sleep apnea is left untreated, it can have serious and even life-threatening consequences, such as: high blood pressure, heart disease, stroke, diabetes, depression, memory problems, weight gain and other major ailments.

 

Indicators include: obesity, morning headaches, high blood pressure, daytime sleepiness, waking with a dry mouth, atrial fibrillation, waking gasping for air, lack of concentration, and diabetes.

 

 

If you think you or someone you know may have sleep apnea, talk to your healthcare provider today, sleep studies are performed locally at our hospital.    For more information contact the Adair County Health System’s Specialty Clinic at 641-743-7263.

 

Adair County Health System’s Sleep Study Services is accredited by the Accreditation Commission for Health Care (ACHC).    This meaning that our program meets and exceeds all required standards set forth by ACHC.

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Information provided by SomniTech who provides sleep study services at Adair County Health System.

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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The Importance of Taking Your Medications as Prescribed

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Picture this:

You are not feeling well. You make an appointment to see your primary care provider. As the nurse is asking you about your current symptoms and taking your blood pressure, they ask you “what medications are you currently taking?”.

Do you know the answer? Do you know the names, strengths, and how many times a day you take each medication? Do you know what they are for? All of this information is important to the healthcare we can provide you. Here is why it is important.

Simply put, not taking your medications as instructed could lead to your disease or illness getting worse, medication interactions and side effects, hospitalization, and even death. According to the FDA, medication is not taken as prescribed 50% of the time.

In addition, for patients prescribed medications for chronic diseases, the majority of patients stop their medications altogether after six months. A recent study estimated that in one year, incorrect use of medications resulted in more than 9 million hospital admissions and more than 18 million emergency room visits.

There are many reasons why people do not take their medications as prescribed.

1. Misunderstanding the instructions. Taking a medication twice a day is much different than taking 2 tablets once a day. The way medications act in our bodies vary and are prescribed at different dosing frequencies for a reason. For example, taking too many NSAIDs for pain or fever, such as ibuprofen, can lead to gastrointestinal bleeding or kidney failure. It is important to follow the label on the bottle.

2. Forgot. The majority of people over the age of 65 are on greater than 5 medications, according to the CDC. Many of these medications are taken at varying times throughout the day. It can be difficult to remember when to take what medications, or if you have already taken that one today. There are many ways to remember to take your medications: alarms on your phone, medication planners, and bubble packs from the pharmacy. If you would like help, just ask your pharmacist or our ACHS staff for guidance.

3. Side effects. All medications come with a laundry list of possible side effects. Many are unpleasant and can discourage people from continuing medications. While our bodies will adjust and get used to many side effects, there are times where the symptoms don’t go away. If you are experiencing a side effect from a medication, talk to the prescriber before discontinuing the medication on your own. There are many options to treat most conditions.

4. The medication doesn’t seem to be working. Many chronic conditions, such as high blood pressure or high cholesterol, are not something we can easily feel. Because of that, we can’t tell when the medication is working. In addition, some medications take days or several weeks to take full effect, as is the case with antidepressants. If you are concerned your medication is not working, talk to your doctor.

While it is important to take your medication as prescribed, it is also essential to know what medications you take and how you should be taking them. Most of us see more than one provider and several specialists. Before prescribing or stopping any medications, those providers need to know your medication list is accurate in order to prescribe you the safest, most effective option for you. The best person to know what you are taking is you!

Our medication safety pearls are:

- Do not stop taking your medications as prescribed without discussing with your health care provider.

- Always know what you are taking. Carry a list and keep it up to date as changes are made. Writing in pencil helps! At Adair County Health System, we have created a wallet sized laminated medication and health information card for you to record this information. Stop by our clinics or hospital to get yours today.

- Know your body! If you are feeling side effects from a medication or combination of your medications, talk to your health care provider.

- If you no longer take a medication, talk to us or your pharmacist about safe disposal. Get them out of your house so you or someone else doesn’t take the medication.

- Store your medications out of reach of pets and children.

Tamara Thorpe, PharmD, MBA

Pharmacy Manager of Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

 

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Economic Impact: Another Way Our Hospital Makes a Difference

Adair County Health System is a good example of something that is a vital part of our immediate environment that it is easy to take for granted.  Yet, its excellence is enormously important to our community and region.

Having a first-rate medical center close at hand is essential to the quality of life of every Adair County resident.  The presence in our community of a superb medical facility also makes Adair County more competitive as it seeks the economic growth that is so important to the future of the city and region.  It’s no secret that two of the factors of critical importance in corporate decision-making about site selection are the quality of a town’s schools and the ready availability of comprehensive, top-quality health care.

Consequently, it is no exaggeration to assert that Adair County Health System’s excellence helps Adair County achieve its dreams for tomorrow.

But there’s more to the story.

A 2013 survey by the Iowa Hospital Association documented that the Hawkeye State’s 118 community hospitals have an enormous economic impact.  According to IHA, Iowa’s hospitals provide more than 71,000 jobs and pay in excess of $4 billion in salaries and benefits annually. This puts hospitals collectively among the largest non-agricultural employers. And that’s only direct employment.

When one adds in the additional jobs in communities across the state that exist because of hospital spending and the dollars spent by their employees, the IHA estimates that almost 130,000 jobs are tied directly or indirectly to the hospital industry. The overall economic impact on the state’s economy is calculated to be approximately $6 billion a year.

Here in Adair County, Adair County Health System generates about 98 jobs and adds nearly $5,128,921 in direct worker income to Adair County’s economy, also according to the IHA report.

But, the impact is even greater than that.  Adair County Health System employees support Adair County businesses to the tune of $1,135,742 in taxable retail sales being spent on Main Street.  Hospital employees pay taxes that support schools, roads, parks and other vital infrastructure.

Adair County Health System is more than jobs, income, retail sales and tax revenue.  And it’s even more than the high quality health care that it provides every hour of every day.

Think of the 98 employees who work at the hospital and what they bring to the community at our schools, churches and volunteer groups.  Think of the many young professionals who come here to start a career at the hospital and stay because in a rural community, hospitals are still one of the best places to grow a career.

Think of how they build homes, start families, strengthen neighborhoods and put down roots.  Think of how important – and challenging – that is for any community in Iowa in this time of rural “brain drain.”

There are many reasons to take pride in Adair County Health System.  It’s no exaggeration to assert that its success contributes mightily to the ability of our town and region to thrive.  Not only is it vital to the health of people who live here and in surrounding counties, but it also contributes to the ability of Adair County and nearby towns to prosper economically.

Angela Mortoza, RN, BSN, MHA
CEO of Adair County Health System

The information provided on the Adair County Health System’s Blog is not a substitute for professional medical advice and care. If you have specific needs, please see a professional health care provider.
Any references to products, services, or health care providers on this web site are not a recommendation or endorsement of products, services or providers. Links to other Web sites from this site are provided for convenience and do not constitute or imply endorsement.
Effort is taken to insure accurate information, however we cannot guarantee completeness or timeliness.

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PCP or Family Doctor

Family Physicians are dedicated to treating the patient as a whole.
Primary Care Physicians or PCP’s treat and follow each organ, all ages, all diseases, and both genders.

Your Family Physician is there to guide you and to coordinate all aspects of care.  They will work with you to achieve the best outcome for each patient.

Obstetrics –gynecology these Physicians and ARNP’s address aspects of women’s health.  They focus on women including pre pubertal, reproductive, and post menopausal years.

Orthopedic physicians focus on musculoskeletal system, Deformities, Injuries, and degenerative diseases.

Cardiovascular/ Cardiologists these Physicians take care of your heart and Vascular System.

As a Music Director and conductor direct the Symphony Orchestra, the Family Physician or PCP Coordinates care for the Patient. Everyone needs a PCP to help coordinate their personal care. PCP wants to provide the best possible care for each patient.  Bring and ask your PCP or Family Physician questions and your concerns, which is what they are for.  Each patient needs to be involved with their plan of care. Most PCP set up a 15-20 minute appointment, time for a couple of problems.  If you have several problems you may ask for a longer appointment or set up two.  You need to let the scheduler know you have several things to talk about so they can decide how long appointment should be or if you need two appointments

 

Denise Grandgenett, RN

Health Coach

Adair County Health System

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A message from ACHS CEO…

While the people throughout Adair County continue to be our most valuable asset, we are also focused on transforming our delivery of care through the use of technology.  Many at Adair County Health System are gearing up for the rollout of Cerner, a new electronic patient medical record that is set to go live on June 8th at midnight. The health system began its journey back in July 2013. In order for us to stay compliant with governmental guidelines, we needed to decide on our electronic medical record.  Staff and providers were asked to evaluate several different EMR vendors. Results of demonstrations and surveys were evaluated, and it was decided to implement Cerner. We hope this will be a seamless process that goes unnoticed by our patients. We do know there may be a potential for our patients to experience a slight delay in check-in times and other processes during the transition.

The project has required a tremendous amount of effort and teamwork by nearly every department at ACHS. The Cerner system will allow for improved patient-care coordination and staff engagement and alignment. The new system will allow for an electronic medical record that can be used throughout the health system.  ACHS continues to have a commitment to quality care and customer satisfaction though employee involvement, teamwork and continuous improvement.  We are confident the results will be worth the process.

~ Angela Mortoza, CEO ~

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A Message from ACHS’s CEO, Angela Mortoza

As we leave the cold winter behind and roll into spring there are many exciting things happening at Adair County Health System. We continue to grow and look for new ways of providing convenient access of care throughout Adair County.  Recently, we have expanded our specialty clinic services to include Iowa Ortho.  We are excited to welcome, Michael Gainer, M.D., specializing in hand and upper extremity surgery; John Netrour, M.D., hip and knee surgery; and Anthony Stark, D.O., physical medicine and rehabilitation.
 In October, we completed our 3P project that centered on the renovation of our current operating room, admitting/registration area, and ambulance drop off.  Our next steps will include public tours and community meetings to share the plans for the spaces and invite ideas from the public.
Our growth is expanding beyond the bricks of the hospital walls. We are working to improve the overall health and wellness of the community we serve. For the first time in history, our local Board of Health, the ACHS Foundation Board, and ACMH Board of Trustees gathered in the same room and adopted a Community Needs Action Plan. The Plan has the following three goals:
Decrease the cancer and chronic disease rates through an increase in preventative screens.
Increase the number of community members making lifestyle changes to reduce obesity and reduce cancer risks.
Continue to provide high quality services for prevention, early detection, and treatment of health issues throughout Adair County Health System.
There are numerous community partners that are helping us to achieve our goals.
I thank you for your support for the Adair County Health System.  I invite you to explore our website anytime you need additional information regarding the services we provide, and please feel free to contact me with any questions or concerns you may have.

Respectfully,
Angela Mortoza CEO
641-743-7234

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